HomeMy WebLinkAbout603 W 13TH ST - Building ELECTRWIAL PERMIT
CITY OPPORT ANGELES
360-417-4735
Application Number . . . 17-00000622 Date .5/16/17
Application pin number . . . 103014
Property Address . . . . . . 603 W 13TH ST REM&SALES TAX
ASSESSOR PARCEL NUMUR: 06-30-00-0-3-7495-0000�-
Application type description ELECTRICAL ONLY on your exafse tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code P502)
Application valuation . . . . 0
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Application desc
Security system
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Owner Contractor
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STEPHEN L HARDMAN PROTECT YOUR HOME
603 W 13TH ST 3750 PRIORITY WAY SOUTH DRIVE
PORT ANGELES WA 98362 #200
INDINAPOLIS IN 46240
(317) 810-4720
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 64.00 Plan Check Pee .00
Issue Date 5/16/17 Valuation 0
Expiration Date 11/12/17
Oty Unit Charge Per Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITSD RES 64.00
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Fee,summary Charged Paid credited Due
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Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 100 .00
Grand Total 64-00 64.00 .00 .00
INSPECTIONTYPE DATE., RESULTS: RWBCrOP-
DrrCH
tMVICE
ROUGHM4
FWAL
CONINffilm:
PERMrr WILL EXPIRE SUC(6)MONnIS FROM LAST INSPECT710N
Signature of owner or Electrical Contractor X
GAEXCHANCTIABUMDING,
PoRr,44
42S
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: 5-/15/1-7
&2 Single Family Dwelling
Plan Review May Be Required Please Complete Bectlical Plan Review Information Sheet
Job Address: ieO 3 %&/ 1 -0- At�q e Le L�-w A q 19h,72-
Building Square Footage: 2—
Description of above
v%54-a llr6en of a I a,,, Va[+aQe 6Q m-e �PrtAr,+t/ fy!5�6,y-,
Owner Information Contractor Informatign
Name: Ry4k[ Name: Frn+.e(-t YQ(Ar kol,,-p-
MadingAddress: (aQ3 V%/ 1 344% Mailing Address: 3,7 t Pf ioft'f-V Way
City: State: (Aj,&-Zjp: 8!3 1.2- City: state: -=ff'-Zip: 46 2t 4
Phone._U 0_4n( Phone: 9"5013 V3 q Fax; 317 4 7
,a 16 9 Fax:
License#/Exp. License# Exp. -r E 1 14 q 3 4 K S
Item Unit Charae QtV Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
ServicefFeeder 401-600 Amp $205.00 $-.
Service/Feeder 601-1000 Amp. $262.00 $
Serviceffeeder over 1000 Amp, $373.00 $
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $-
Branch Circuits 14 $ 75.00 $
Temp.Servicel Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201400 Amp. $110.00 $
Temp.ServicetFeeder 401-600 Amp. $149.00 $-
Temp.ServiceJFeeder 601-1000 Amp. $168.00 $-
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-I&2 Family Dweiling $ 64.00 $ t04'00
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $t02.00 $-
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $-
Each Swimming Pool or Hot Tub $110.00 $
$ to(4�00 Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCK Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMIG 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check
K Credit Card#
Dated: 01/0112012
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